人口与经济Issue(3)：69-83,15.DOI:10.3969/j.issn.1000-4149.2025.03.006
中国寿命不均等的变迁及其分死因贡献(1953-2020年)
Changes in Lifespan Inequality and Its Cause-specific Contributions in China:1953-2020
摘要
Abstract
Lifespan inequality has become an important topic in international academic community,yet which still has little discussions in China.Based on multiple data sources and using the latest decomposition method of lifespan inequality,this study discusses the changes of lifespan inequality and its contribution by causes of death in China.The findings reveal:First,China's lifespan inequality has markedly decreased over the past half-century,though significant regional disparities persist.Second,China has undergone a rapid health transition,with cardiovascular diseases and malignant tumors replacing infectious and parasitic diseases,respiratory infections,and perinatal conditions as the leading contributors to lifespan inequality.Third,the past reduction in lifespan inequality in China has historically been driven by the continuous improvement of perinatal conditions,despite their relatively limited contribution to overall mortality.Cardiovascular diseases consistently ranked second or third in their contribution,while injuries have shown a significant rise in recent years.However,as infant mortality in China has reaches extremely low levels and the health transition shifts towards degenerative diseases,the influence of perinatal conditions is diminishing,while the contribution of malignant tumors is increasing.Subregional observations show significant differences in the contributions of these causes of death to the decline in lifespan inequality between urban and rural areas and between eastern and western regions.Further examination of the drivers of lifespan inequality reduction highlights a transition from the influence of the proportion of each cause of death and the average age at death to inequalities within specific causes of death.This marks a new set of challenges for China's health transition.关键词
健康不平等/寿命不均等/死因分析/健康转变/地区差异Key words
health inequaltity/lifespan inequality/cause-of-death analysis/health transition/regional disparities分类
社会科学引用本文复制引用
闫誉腾,李婷..中国寿命不均等的变迁及其分死因贡献(1953-2020年)[J].人口与经济,2025,(3):69-83,15.基金项目
国家社会科学基金重大项目"人口、家庭与可持续发展研究"(24&ZD155). （24&ZD155）
